Mastering Ultrasonic Instrumentation for Stage I Periodontitis

Clinical practice guidelines state that subgingival instrumentation for Stages I-III periodontitis be performed with hand or powered instruments, alone or in combination, and choice is based on experience, skills, and preferences of the provider and patient.¹ In regard to staging periodontitis, a multidimensional view with case definition is used reflecting stage (severity and complexity) and grade (progression rate and risk factors).^2-4 Severity is determined by staging interdental clinical attachment loss (CAL), radiographic bone loss, and tooth loss. Complexity is based on maximum probing depth and presence of horizontal or vertical bone loss.

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* References and figures can be found in the original article via the link above.